气流冲击振动联合三通负压技术在PICC堵管中的应用研究  

Application of airflow shock vibration combined with three-way negative pressure technology in PICC blockage

作　　者：周游 黄建业 钱火红 曹洁 郝建玲 缪英霞 李月园 Zhou You;Huang Jianye;Qian Huohong;Cao Jie;Hao Jianling;Miao Yingxia;Li Yueyuan(Department of Spleen Hepatobiliary Pancrease Surgery,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院肝胆胰脾外科,上海200433 [2]海军军医大学第一附属医院护理部,上海200433 [3]海军军医大学第一附属医院泌尿外科,上海200433 [4]海军军医大学第一附属医院门诊部,上海200433

出　　处：《护理学杂志》2023年第5期13-15,共3页Journal of Nursing Science

摘　　要：目的探讨气流冲击振动与三通负压技术联合应用在PICC堵管溶栓中的有效性。方法将PICC维护门诊就诊的PICC完全堵塞患者87例,按就诊时间先后分为对照组(36例)和观察组(51例)。对照组采用三通负压技术溶栓;观察组采用气流冲击振动联合三通负压技术溶栓。两组单日持续溶栓最长4 h,不成功者PICC余腔用尿激酶稀释液封管,第2天再进行4 h的溶栓,仍未见效者汇报医生,采取其他处理。比较两组患者单日门诊溶栓成功率、溶栓总成功率、溶栓成功耗时。结果观察组单日溶栓成功率、溶栓总成功率显著高于对照组,溶栓成功耗时显著短于对照组(均P<0.05)。结论气流冲击振动联合三通负压技术在PICC堵管的应用,可以提升溶栓成功率,缩短溶栓时间。Objective To explore the application effect of airflow shock vibration combined with three-way negative pressure technology in thrombolysis for PICC blockage.Methods A total of 87 patients with complete blockage of PICC catheter admitting into PICC maintenance outpatient were divided into a control group(36 cases)and an experimental group(51 cases)chronologically.In the control group,the three-way negative pressure technology was used for thrombolysis,while airflow shock vibration combined with three-way negative pressure technology was utilized for thrombolysis in the experimental group.In the two groups,the longest duration of thrombolysis was 4 hours in a single day,the remaining cavity of PICC was sealed with urokinase diluent for those failed,and thrombolysis was conducted for 4 hours on the second day,for the patients who still failed,their physicians in charge were reported for other treatment.The success rate of single-day thrombolysis,total success rate of thrombolysis and duration of successful thrombolysis were compared between the two groups.Results The success rate of single-day thrombolysis and total success rate of thrombolysis in the experimental group were significantly higher than those in the control group,and its duration of successful thrombolysis was significantly shorter than that in the control group(all P<0.05).Conclusion Application of airflow shock vibration combined with three-way negative pressure technology in PICC blockage,can improve the success rate of thrombolysis and shorten the duration of thrombolysis.

关 键 词：PICC 堵管 气流冲击振动 负压技术 三通 尿激酶 溶栓 

分 类 号：R472[医药卫生—护理学]